HomeMy WebLinkAboutHomestead_Studleri���5�„` - CLAIM FOR HOMESTEAD PROPERTY TAX
i � CREDIT/STANDARD DEDUCTION
j' S�ate Fortn 5473 (R2 / 5-92)
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� INSTRUCTIONS: See �everse side for liling instructions.
FORM YEAR
HC70
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CERTIFIC TION STATEMENT -
I(We) rtity that on e day of arc 19_
I(We) occupied as our principa place of residence the following describ eal property for which a Hom aimed:
❑ I(We) owned ❑ Are buying under contract GIBSON COUNTY AUDITOR
❑ Have a beneticial interest in the entiry that is liable for the property tazes on the property and that owns the property or is buying under a contract.
CONTRACTRECORDED � �
If buying an cantract, Fee Simple owners name
Recortlers olfice where conVact is recortled Fecord number Page
PROPERTY DESCRIPTION
Counry Township Ta�dng tlistrict (ciry, town, lownsNp) '
Parcel number Legal descnption
� any portion o e residential struc[ure or Ne land nm exceedifg one (7 ) acre that immetliatey surtounds that siructure is used to produce income, describe the use and portion of
the properry uulized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Caunry Township County Township
S nat e o nt
ereby certity the above statements are true, correct and complete. -
Address(numberantlstr t,ci , a(e,ZlPCiodeJ
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately (� �
surrounding residential improvements.
Otherland (2)
Total land (line 7 plus line 2) (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvemenLS (6) -
Total improvemenis (line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby ceRify the above is Irue, cortect, and Signawre of Assesor Date signed
complete.
Verifying action - Signature of Autlitor Date signetl
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead �C
Valuation or $2,000
Signature of Auditor � Date si netl
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